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- n. measurement using a tocodynamometer
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Bakker et al. (Jan. 28 issue) 1 report the outcomes of internal and external tocodynamometry in a randomized, controlled trial conducted in six hospitals.
Results We randomly assigned 1456 women to either internal tocodynamometry
Conclusions Internal tocodynamometry during induced or augmented labor, as compared with external monitoring, did not significantly reduce the rate of operative deliveries or of adverse neonatal outcomes.
We performed a randomized, controlled trial in six hospitals in the Netherlands to compare internal tocodynamometry with external monitoring of uterine activity in women for whom induced or augmented labor was required.
Background It has been hypothesized that internal tocodynamometry, as compared with external monitoring, may provide a more accurate assessment of contractions and thus improve the ability to adjust the dose of oxytocin effectively, resulting in fewer operative deliveries and less fetal distress.
Nevertheless, close inspection of data showed that in the internal-tocodynamometry group, as compared with the external-tocodynamometry group, the rate of diabetes mellitus was significantly higher (32 of